Eduardo Javier Vega Jimenez, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

6770 Issued in PR

Practice address

65 Infantery
San Juan, PR 00925

Phone

(787) 767-1636

NPI assigned

Apr 28, 2020

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #00891

  • Pharmacy
  • San Juan, PR
  • NPI 1255347696
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1770104077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 11812",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279678",
            "telephone_number": "939-250-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 INFANTERY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-767-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA JIMENEZ",
        "first_name": "EDUARDO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LISCENSE",
            "identifier": "6117498",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.00891@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Official Email",
            "address_1": "65 Infanteria shopping ctr",
            "city": "san juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.00891@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Official Email",
            "address_1": "65 Infanteria shopping ctr",
            "city": "san juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arelis Vega Diaz
• Rafael Vega Figueroa
• Stephanie Vega Flores
• Laura Cecilia Vega Grau, MD
• Guillermo Vega Homar
• Chanatha Mari Vega Lopez, MSW
• Glenda Enid Vega Maldonado, MSW
• Iraida Vega Perez
• Giselly Marie Vega Ramirez
• Maribel Vega Rios, RPH

• Pharmacist in San Juan, PR
• Providers in San Juan, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.